THERESA L. BROO LPC
NPI 1528253382
Counselor - Professional in Forked River, NJ
About Theresa L. Broo Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA L. BROO LPC (NPI 1528253382) is an individual professional provider in Forked River, New Jersey, licensed in New Jersey (37PC00127200) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa L. Broo Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Broo's NPI number?
The NPI number for Theresa Broo is 1528253382. It was assigned to this individual provider in the NPPES registry on September 13, 2007.
Where is Theresa Broo located?
Theresa Broo practices at 525 Lacey Rd, Forked River, NJ 08731. The listed phone number is (609) 276-8626.
What is Theresa Broo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Theresa Broo enrolled in Medicare?
Yes. Theresa Broo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Theresa Broo was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Theresa L. Broo, LPC · NPI 1528253382
Professional provider in Forked River, New Jersey. Individual provider, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1528253382 (Entity type: Individual)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00127200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 LACEY RD, Forked River, NJ 08731-1543
- **Phone:** (609) 276-8626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1528253382) · Data from the CMS NPPES public registry.